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Republic of the Philippines Province of Albay City of Tabaco

) ) s.s.

AFFIDAVIT OF FILING AND SERVICE I, of legal age, Filipino, and a resident of after having been duly sworn to in accordance with law hereby depose and say that: On Registered Mail to: , I filed and served copies of the Comments by:

by depositing a copy thereof, in the post office of , as evidenced by Registry Receipt No. __________ hereto attached and indicated after the names of the addressee/s and with instructions to the post master to return the mail to the sender after ten (10) days if undelivered.
IN WITNESS WHEREOF, I have hereunto affixed my signature this at ___________, Philippines. day of

__________________ Affiant

SUBSCRIBED AND SWORN TO BEFORE me this __ day of , Philippines.

at the

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